Gibowicz, Kelly Lynn
Gibowicz, Kelly Lynn is an sole proprietor health care provider with primary practice located at 655 Meadowbrook Ave Se , Warren OH 44484-4553. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gibowicz, Kelly Lynn can be contacted via phone (330) 369-1508.Contact Information
Primary practice address
655 Meadowbrook Ave Se
Warren OH 44484-4553
Phone: (330) 369-1508
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN-095464 IV | Ohio |
Profile Details
| NPI number | 1861603995 |
|---|---|
| LBN Legal business name | Gibowicz, Kelly Lynn |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861603995 | NPPES |
| Ohio | MEDICAID | 2149151 |
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